Description:Bruxism and clenching have become an epidemic, with studies finding between 80-90% of the population effected. According to the Mayo Clinic, Bruxism is not just an abrasion problem, but a disease that more likely leads to snoring and apnea, and headaches and jaw disorders. The source of Bruxism is a mystery and may vary greatly from one patient to the next. Treatment also varies significantly. Today, through the help of scientific studies, diagnostic and patient education tools, treatments and appliances, Bruxism can be addressed, controlled, and even ended for many patients. Join Dr. John Kline, a practicing dentist of 40 years who has spent much of his career studying, teaching, and treating patients with TMD, TMJ, and Bruxism as he discusses the enigma and treatment of Bruxism.

Date Added:4/5/2016

Author(s):

John Kline, DDSDr. John Kline graduated from The Ohio State Dental School in 1974. Due to excellent GPS and DAT score he was allowed to enter dental school prior to graduati...
[read more]

Hennie, thanks for interest. the cuspid disculuding elements are the key to comfort. the lower appliance has A discluding elemnent that should contact only the maxillary canine on each side the maxillary canine is naturally designed perfectly for all the forces associated with Bruxism Adding the elements and getting them to adhere is a proprietary trade secret visit www.originalmincomfort.com thanks John Kline

Hennie Bothma - (7/6/2016 2:34 PM)

Hi John
Interesting video- thank you
Is it possible to elaborate more on the construction of the appliance?
What is the "discluding elements" made of? Do I understand correctly- is it basically a soft "pull over"(EVA thickness?), putting the disclusion elements in place and then a 0,04 or 0,06 soft pull over to keep the discluding elements in place?
Regards
Hennie Bothma
South Africa

John Kline - (4/12/2016 1:41 PM)

Barry, I just realized I failed to respond to your comment re the Cerezen ear appliance. There are others similar also. I have no reason to believe that this ear insert could af distally and pressure the thin plate of bone separatingfect the TMJ. I looked at their ad again and their depiction of the condylar fossa and the condyle doesnt even make sense. I do believe enough clenching day or night can drive the condyle distally with such force that it can change hearing and result in a sensation of a fullness in the ear, feels like water in the ear. also with enough clenching and bruxing the eustachian tube can be strangulated somewhat by a overworked tensor tympani muscle that runs by and near the Eustachian tube. This of course would definitely not be good or feel good.Some relate this to tinnitus.

John Kline - (4/8/2016 4:57 PM)

Barry, John Kline here. The appliance is 100% soft EVA material. The EVA discluding elements are overlayed by the .040 or .060 to create the body of the appliance. There is a melding process that bonds the discluding elements to to the body overlay. The critical positioning of the two lower elements is such that they must only contact the upper canines in CO or Maximum Intercuspation Position. The upper canines naturally provide the dentition with protection from Bruxism. The MinComfort restores and even accentuates natures protection as soon as the clinician identifies canine wear. Presently designed for 16-17 years old and older, in the future we may develop protocols for those younger and still growing. Hence, as providers we can prevent the severe damage of Bruxism early on such as we do with caries and dental sealants and prophies and gingival disease and early caries detection to prevent irreversible pulpitis etc. I apologize that the webinar was not satisfying and did not explain more about the appliance. Sincerely, John Kline

B.J. Kowalski - (4/8/2016 11:54 AM)

Barry,
It is essentially a two part design, we articulate the casts and trim small "discluding elements"over the area of primary guidance sites and form them onto the cast to create guidance in an open position. The thickness of these tabs depends upon the occlusion and can be different thickness on each side. We then form a 040 or 060 sheet over top of them and trim it on the cast to be just into the vestibule to create a hydoseal effect making it very retentive.The temperature and material used are critical. Let me know if you have more questions. I know Dr. Kline focused on Bruxism rather than the device.

Barry Rimmer - (4/6/2016 6:01 PM)

Would have liked to know a little more about design of appliance as I'm in uk- is it just soft pull downd and had acrylic overlay? and possibly your views on cerezen

Related Videos

Complete Digital Integration: From Implant to CrownIn this video Dr. Luciano Retana explains the digital integrated treatment flow. Covering very basic
topics like digital imaging and some terms that we should manage if we are related with this kind of
treatments. He also explains step by step some digital protocols from the virtual planning of the
implants to the delivery of the virtually design and machined restoration.

Breaking the Bruxism Habit - Treatment Options & SolutionsBruxism and clenching have become an epidemic, with studies finding between 80-90% of the population effected. According to the Mayo Clinic, Bruxism is not just an abrasion problem, but a disease that more likely leads to snoring and apnea, and headaches and jaw disorders. The source of Bruxism is a mystery and may vary greatly from one patient to the next. Treatment also varies significantly. Today, through the help of scientific studies, diagnostic and patient education tools, treatments and appliances, Bruxism can be addressed, controlled, and even ended for many patients. Join Dr. John Kline, a practicing dentist of 40 years who has spent much of his career studying, teaching, and treating patients with TMD, TMJ, and Bruxism as he discusses the enigma and treatment of Bruxism.

Managing Technology for Best Outcomes and ProductivityDigital technology provides tools to improve planning, clinical execution, prosthetic design, manufacturing, maintenance, and cost of care.
Dental professionals need to understand the value of individual technologies as well as the benefit derived from linking them together.
During this presentation, a business model and clinical cases will be used to illustrate how a number of digital technologies can impact outcomes and productivity.

Prosthetic Considerations with Periodontal Root Resective Therapy Part 2The treatment of advanced furcation lesions may require the removal of a portion of the crown and its associated root, or resection of only one root from a multi rooted tooth. This resective-type of therapy is a definitive treatment because it predictably enables clinicians to better access the remaining tooth structure for periodontal and subsequent prosthetic therapy. The morphology of tooth preparation for hemisective periodontal therapy is critical to facilitate the patient's ability to perform…

Bisphosphonates and Their Impact on Patient TreatmentThere has been increasing discussion concerning a variety of implications for patients who have been administered bisphosphonates, which are FDA-approved chemical agents used in the treatment of osteoporosis, metastatic cancer involving the bone, and Paget's disease. I The first report of the biological characteristics of bisphosphonates was published in 1968, when scientists discovered that bisphosphonates have a marked ability to inhibit bone resorption. Bisphosphonates suppress or reduce bone…